Reid Portnoy, DO

@Morristownradiology ‘26 | @Northwell 21’ | @BinghamtonUniversity 17’| NY Sports

[Mark Cuban @mcuban]

No chance radiologists get replaced. A model is outdated the minute it is released.

Model usage costs money. A lot more than a radiologist.

Medicine is a business.

Putting together AI with domain knowledge is complex. When it can be the difference between life and death, who do you want building it and using it ?

People forget that using AI and trying to get accurate answers is a skill that will need to be taught in med school

AI won't replace radiologists. But every radiologist will use AI

[Francis Deng, MD @francisdeng]

AI finally solving the pervasive, error-inducing problem of terrible history provided to radiologists.

"LLMs generated radiology-relevant indications from clinical notes that were more comprehensive and factual than clinician indications"

https://t.co/3tBOM8ehHy @sohn522

[Francis Deng, MD @francisdeng]

Look at the FLAIR image.

Notice the smoothness of the white matter and poor grey-white differentiation, whereas the lesional areas have distinct noise profiles.

It makes me doubt the authenticity of the image. As a reviewer, I have recommended rejection for such submissions.

[Julius Chapiro @JuliusChapiro]

For Gen Z, this is the best case yet and ever made for radiology. Wow.

[Reid Portnoy, DO @PortnoyReid]

@FFHitman @TJHernandez Won one of my leagues bc of you 🙌

[Elisabeth Potter MD @EPotterMD]

If I want healthcare to be different, I have to practice differently.

Today at Redbud we did multiple cases in an environment built around patients, not profit margins. We had time. We had focus. We had the right team in the right setting.

One patient came to us after receiving a quote of more than $100,000 for her cancer surgery elsewhere. The operating room fees alone were quoted at over $30,000. We performed her surgery today at Redbud, a CMS-certified facility with fellowship-trained surgeons and experienced nurses for a fraction of that cost.

Same standard of excellence. Different priorities.

Healthcare does not have to be this expensive in America. It’s not easy to do things differently, but it is possible. And we’re proving that one patient at a time.

[Reid Portnoy, DO @PortnoyReid]

@francisdeng If the resident and medical student both see a lesion on CXR, there can be no lesion there - The House of God 😂

[Michael Albert, MD @MichaelAlbertMD]

You can ignore the science, but you can't ignore the consequences of ignoring the science.

[Reid Portnoy, DO @PortnoyReid]

@chamath I just don’t understand why politicians can’t focus on being more efficient with using the tax money they already have. Pretty clear that the government is inefficient with tax payer money. I’m all for tax increase if the services actually get better but we all know they never do

[Reid Portnoy, DO @PortnoyReid]

@chamath @chamath love all in. I’m a resident physician, how do you recommend I get involved with investing in copper?

[Reid Portnoy, DO @PortnoyReid]

@AndyHolloway Jcm or Parker Washington?

[Dr. Glaucomflecken @DGlaucomflecken]

I have logistical questions for the full body MRI + AI interpretation crowd. What do you do with that report? Take it directly to a surgeon? Expect them to operate without a radiologist interpretation? Will the hospitals allow it? Who pays for it? Gonna need ironclad research to convince surgeons, hospitals, and payors to take on that liability.

[Reid Portnoy, DO @PortnoyReid]

@EricNMoody

[status annoyicus @medburnbook]

They keep trying to shame us out of wanting better but it’s not gonna work lmao ❣️🎀

You can’t underpay us, short us on benefits, have us beholden to insane loans, overwork us for a decade plus (med school/res/fellowship) and expect us to shut up. Pick a struggle!

[Dr Ellie Murray, ScD @EpiEllie]

Vaccines work. Vaccine denial kills. It’s that simple.

[Reid Portnoy, DO @PortnoyReid]

@AdamRodmanMD Discussion of AI in medicine not involving radiology 😱😱😱

[Reid Portnoy, DO @PortnoyReid]

@daniel_gewolb Cadasil!!!

[Dr. Glaucomflecken @DGlaucomflecken]

I’m hearing so many people cite conflict of interest as the reason physicians shouldn’t own hospitals. This also happens to be the main strategy the American Hospital Association used to lobby Congress to ban POHs in the Affordable Care Act, paving the way for the consolidated corporate nightmare we enjoy today.

The conflict of interest argument is absurd in a for profit healthcare system. Hospitals force their employed physicians to refer to other specialists within their own hospital system. Physicians recommend surgery then do the surgery themselves collecting both a clinic fee and a surgery fee. Optum forces patients to see their doctors, use their pharmacies, and be admitted to their own hospitals. If there is profit to be made in patient care, there will be a conflict of interest among the entities/people collecting that profit. The closest thing to a conflict of interest free system is one that is devoid of profit. Call me cynical, but that will not happen in the US.

So we can wring our hands about the potential corruption and malfeasance evil greedy doctors will inflict upon our great country if physicians owned hospitals, while ignoring the actual corruption and malfeasance already displayed by hospital corporations.

We can ignore data that shows POHs as a whole (~250 in the US, holdovers from pre-ACA times) have better outcomes at lower costs.

Or we can introduce some actual competition in the healthcare marketplace to give patients a chance for better care from people who actually got into this business to treat patients, care that is not dictated by a private equity company or insurance company.

Just give physicians a chance to show that we can do a better job. That’s all we’re asking. If we suck at it, we won’t get very far, right? Isn’t that what the free market is for?

Repeal the ban on physician owned hospital.

[Reid Portnoy, DO @PortnoyReid]

@andyholloway I have tee higgins, do i play Andrei Iosivas or christian watson. Please help me 🤣

[Tyler Olson, EA @olsonplanner]

Hey @AAMCtoday looks like your cash cow is humming along quite nicely.

Maybe stop this?

Because these students don’t earn an income?

And you don’t really need the money?

You’re a non-profit right?

Non…profit…